Individual
JANE RAMANUJAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11430 N PORT WASHINGTON RD, MEQUON, WI 53092-3414
(262) 518-1900
Mailing address
11430 N PORT WASHINGTON RD, MEQUON, WI 53092-3414
(262) 518-1900
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
48202
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34586600
—
WI
Enumeration date
07/10/2006
Last updated
02/03/2023
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